Provider Demographics
NPI:1104677525
Name:MICHAEL ABRAMS DDS
Entity type:Organization
Organization Name:MICHAEL ABRAMS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-484-7416
Mailing Address - Street 1:7 CHARLES WAY
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2736
Mailing Address - Country:US
Mailing Address - Phone:516-484-7416
Mailing Address - Fax:516-484-7552
Practice Address - Street 1:6910 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6119
Practice Address - Country:US
Practice Address - Phone:718-444-3800
Practice Address - Fax:718-444-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty